Organization · Type 2 NPI

Tracy Outpatient Surgery Center

Endoscopy Clinic/Center · Tracy, CA

NPI number 1720044605 Active

Practice location

530 W Eaton Ave Ste P
Tracy, CA 95376

Fax (209) 835-3246

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center 261QA1903XCA030001797 (CA)
Endoscopy Clinic/Center Primary 261QE0800XCA030001797 (CA)

Endoscopy Clinic/Center: Definition to come...

About NPI 1720044605

Tracy Outpatient Surgery Center's National Provider Identifier is 1720044605, issued on Apr 21, 2006. The primary taxonomy on file is Endoscopy Clinic/Center (261QE0800X), and the practice location is in Tracy, CA. The record was last updated on Oct 5, 2010.